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Gynecology and Obstetrics
Question #45836
20 days ago
201

Seeking Help for PCOS Management and Symptoms - #45836

Client_77a350

Name: Muskan Age: 19 years Reports Year: 2024 Condition Duration: Since 2020 (on/off symptoms) --- 1) Ultrasound Report (2024 – Main Relevant Report) Uterus: Normal size and normal echotexture Right Ovary: Volume ~23 cc Left Ovary: Volume ~19 cc Both Ovaries: Increased stromal echogenicity Multiple peripherally arranged follicles (classic “string of pearls”) ➡️ Impression: Polycystic Ovaries (Symptoms bhi isi ultrasound se match karte hain.) --- 2) Blood Reports (2024) Sab blood parameters normal aaye the. Koi hormonal report available nahi thi. --- 3) Urine Reports (2024) Pehli urine report: Normal. Doosri urine report: Mild infection. (Doctor ko personally symptoms bhi bataye the — burning nahi, bas discomfort.) --- 4) Symptoms & Complaints Lower abdomen (left side) ka pain — on/off, kabhi sharp, kabhi dull White discharge – kabhi watery, kabhi thick Menstrual cycle irregular (30–35 days) Flow light, sirf 3 din normal + spotting Occasional mild back pain PCOS ke typical symptoms: bloating, fatigue, mood stress Stress hone par pain aur discharge badh jata hai Ultrasound wali findings ke hisaab se hi exactly symptoms match karte hain --- 5) Previous Ask Ayurvedic Treatment (Approx. 1.5–2 months) Doctor ne ye medicines di thi: Kanchnaar Guggulu Chandraprabha Vati Chandanasavam Sukumaram Kashayam Shatavari Jeeraka Syrup (2–3 din hi liya, taste kadva laga) Diet follow kiya tha: Sweet bilkul band 1–1.5 mahine Chini avoid Aloo, baingan, gobhi avoid Dairy milk avoid Diwali me ek–do baar sweet li Meat week me 1–2 din ghar me banta hai Exercise yoga butterfly aasan bhujangasan malasan yah sab kiye tumhen yah exercise vagaira Karti to white discharge hone lagta kabhi transparent kabhi white aur transparent donon Main bhagana daudna kudna khelna sathiyon lekin jab agar Main bhagati Ho ya FIR main jyada Tej speed se koi kam karne lagti hun ya FIR Main Teri speed se chalti Hun Tum mujhe Na Dard Sa mahsus hone lagta Hai vahi jis jagah bataya Hai Maine vahan per aur white white hi transparent aur kabhi donon ek Sath white aur transplant ek Sath aane lagte Hain Gila Gila hone lagta hai sab ab samajh sakte na main kya kah rahi hun Please meri help kariye aapki bahut meherbani hogi Bus yah samajh lijiye aap aakhri Hope Please help me Aur agar aapko Koi question vagaira puchna hai to aap poochh Lena jab bhi uske bad hi mujhe proper ilaaj batana okay kyunki Main ab Koi rishte mein jab bhi gadbadi nahin chahti mujhe continue karna hai to theek hoga achcha karna hai Bus itna hi nahin Lage rahana please help me kripya Meri madad kariye Effect: Thoda pain relief Body me thodi energy Sleep pattern improved Still PCOS pain + discharge continue ho raha hai --- 6) Current Condition (2025) 2025 me koi naya ultrasound nahi karwaya Same symptoms continue Stress se symptoms badhte hain Ab complete Ayurvedic treatment 3 months proper lena chahti hoon Medicines taste ya kadva se issue nahi — sirf relief chahiye Hum ghar me week me 1–2 baar chicken/mutton banate hain. PCOS ke ilaj ke dauraan kya main ye occasional non-veg le sakti hoon? Ya kuch restrictions hon to please bataiye. ▪️ Agar previous medicines me kuch changes, add-ons ya completely new combination chahiye ho to please bataiye — main faithfully follow karungi.

How would you describe the severity of your lower abdomen pain?:

- Moderate and bothersome

How often do you experience irregular menstrual cycles?:

- Frequently irregular

What lifestyle changes have you made to manage your symptoms?:

- Dietary changes
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Doctors' responses

Muskan, your experience with PCOS suggests typical symptoms like irregular cycles and the ultrasound confirms polycystic ovaries. Experiencing discomfort and the variety of symptoms you’re facing can indeed be challenging. In Ayurveda, PCOS is mainly seen as an imbalance in Vata and Kapha doshas. Managing these through diet, herbal medicine, and lifestyle changes is key.

1. Dietary Changes: Avoid foods that increase Kapha and Vata. This means continuing to avoid sweets, processed foods, and excessive dairy. Occasionally eating non-veg like chicken or mutton is okay, but prefer lean meats and limit intake to once a week. Focus on warm, cooked foods, more vegetables like spinach, zucchini, and carrots which help balance doshas.

2. Herbal Remedies: - Start with a renewed commitment to Kanchnaar Guggulu; it is effective in reducing cysts. - Add Triphala Churna at bedtime with warm water to support digestion, promoting regular bowel movements and reducing bloating. - Consider Ashoka Vati during times of painful menstruation; it helps regulate cycles and reduce pain. - Shatavari may be uncomfortable but is too beneficial for balancing hormones and alleviating symptoms, try it again or look for an alternative form.

3. Lifestyle & Exercise: Gentle, regular exercise like walking or yoga is essential. Activities like yoga poses such as bhujangasana and malasana are good; however, intense exercise might not suit everyone. Focus on calming, grounding exercises, and consider practicing meditation or pranayama (breathing exercises) to help manage stress, which seems to aggravate your symptoms. Make sure you have enough restful sleep, which helps with stress management and hormone regulation.

4. Consistent Medication: Continue your previous medications but it’s important that you do so consistently for 3 months, as Ayurvedic treatments need time to show results.

It might also be beneficial to regularly observe your stress levels and use techniques like mindfulness or journaling to help mitigate the effects of stress on your symptoms. Also, further hormonal testing could be worth discussing with a healthcare provider to ensure a comprehensive approach to your treatment plan. Immediate medical care is crucial if symptoms like persistent pain or significant discomfort arise.

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Client_77a350
Client
16 days ago

Respected Doctor,

Thank you for your guidance. I want to follow the treatment properly for PCOS.

I have one practical concern I want to clarify.

I am a BA first semester student and I go to college regularly. Because of this, midday medicine doses often get missed, and the number of medicines feels a little difficult to manage daily.

I wanted to ask:

1. Is it necessary to take all the previous medicines along with the newly suggested ones, or are there 2–3 most important medicines that I should strictly continue?

2. If possible, could you please suggest a simplified timetable (morning / evening / night) that suits a college-going routine?

3. Is there any single tonic / decoction / formulation that can be taken once or twice a day instead of multiple daytime doses?

4. Please also guide me clearly about:

which medicines should be taken before food / after food

and what kind of food timing I should maintain

I genuinely want to continue this treatment consistently for 2–3 months without breaking, so your guidance will help me a lot.

Thank you for your time and support.

Regards, Muskan


Respected Doctor,

I want to clarify a few specific food items so that I don’t remain confused while following the diet.

1. I was asking about chana–gud based items, such as:

chana gajak / chana chikki (made from roasted black chana or besan-based chana with jaggery)

Is this allowed in PCOS and white discharge condition? If yes, how frequently (occasionally or regularly)?

2. Similarly, regarding til–gud gajak / chikki, is this safe or should til be avoided?

3. If jaggery (gud) is taken in small quantity, is it acceptable or should it be strictly avoided in my condition?

4. If possible, could you please suggest a few foods or snacks on your own that are safe and helpful for:

hormonal balance

reducing white discharge

maintaining energy

I want to eat correctly without unnecessary fear or confusion and follow the treatment consistently.

Thank you for your guidance.

Regards, Muskan

To manage PCOS in your case, we should focus on regulating Kapha dosha and balancing hormones. Keep in mind, what’s suitable in Ayurveda is highly personalized, so here’s a plan tailored for you:

1. Continue with Kanchnaar Guggulu and Chandraprabha Vati: These are key in balancing Kapha and reducing ovarian cysts. Kanchnaar Guggulu helps in breaking down growths and swelling, while Chandraprabha Vati is excellent for maintaining urinary tract health and reducing inflammation.

2. Sukumaram Kashayam: This formulation can help alleviate pain and balance hormones. Stick with this if you’re already seeing some improvement in pain relief, but ensure consistency for better results.

3. Shatavari Supplement: It’s crucial for hormonal balance and nourishing reproductive tissues. Since the syrup wasn’t preferable, consider Shatavari tablets if the taste was an issue.

4. Dietary Guidelines: Keep sugars and processed foods minimal, as Kapha imbalance benefits from reduced sweet intake. Considering your occasional meat consumption, it is generally advised to limit high-fat meats like mutton due to their Kapha-increasing properties. Opt for lean cuts of chicken when you do consume non-veg. Additionally, favor freshly cooked vegetables and whole grains.

5. Herbal Tea: Boil fenugreek seeds and ginger to make a tea. Drink this twice daily to enhance digestion and help reduce bloating. Antara meal times, if preferred.

6. Yogasanas: Continue with gentle yoga and pranayama, which helps in stress reduction and improving blood circulation to the pelvic area. Practice daily but respect your body’s signals to avoid aggravating pain.

7. Stress Management: Meditation and establishing a proper sleep schedule are vital. Stress has a known effect on increasing PCOS symptoms, so incorporating mindfulness practices should be a regular part of your routine.

Lastly, it is wise to consult with a local practitioner for personalized follow-ups, ensuring the plan aligns with your ongoing health needs. If symptoms like pain or discharge increase sharply, seeking prompt modern medical advice is prudent.

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1 hour ago
Super helpful! Your answer really made things clearer for me, especially about managing the symptoms. Thank you so much!
Super helpful! Your answer really made things clearer for me, especially about managing the symptoms. Thank you so much!
Audrey
8 hours ago
This response was really insightful and reassuring. I appreciate the detailed advice. Feeling hopeful about trying this out.
This response was really insightful and reassuring. I appreciate the detailed advice. Feeling hopeful about trying this out.
Warren
19 hours ago
Thanks a lot for the detailed advice! It was super helpful to know about the oils and how to apply them. Really reassured now.
Thanks a lot for the detailed advice! It was super helpful to know about the oils and how to apply them. Really reassured now.
Theodore
19 hours ago
Thanks for following up, appreciate it. The answer helped me rethink my habits to get a better grip on this. Super grateful!
Thanks for following up, appreciate it. The answer helped me rethink my habits to get a better grip on this. Super grateful!